Tara Valdez
Toledo,Ohio
Summary
Seven years of experience as a Billing Customer Service Representative in pharmacy / long term care setting. I am seeking a secure position with a company that will allow me to utilize my skills in insurance billing. I am an organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
33
33
years of professional experience
Work History
Billing Customer Service Representative
Omnicare Pharmacy a CVS Company
11.2016 - Current
- Worked with long term care facilities on end of month Invoices everyday disputes, Customer Billing issues, pharmacy and over the counter issues.
- Consulted with insurance companies on pharmacy related billing discrepancies and obtained processing information for claims, including Medicaid, third Party insurances and Medicare D plans
- Worked Census moving patients from Medicare A / Managed Care to private or Medicaid stays making sure billing days were correctly billed.
- Adding insurance or Medicaid plans when necessary and confirming claims were paid and correctly processed and re-processed
- Experience in claim to old rejections and the processes on how to get these items paid with paper claims both through third party insurance and Medicaid
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Maintained a strong knowledge of industry regulations and best practices relating to billing procedures, providing expert guidance when needed.
Florist, Assistant Manager
Black Tulip Floral Design
08.2014 - 07.2016
- This was a high-end flower shop where I would be allowed in clients homes (even if they were not home) to decorate for holidays
- My shop designed high dollar events, weddings, Quinceaneras's along with everyday arrangements, corsages, boutonnieres and funerals
- Worked with cash, credit cards and worked with phone orders for local deliveries
- On occasion I would also deliver
- We did set up and tear down of these events and I also ordered the flowers and any other supplies needed for these events.
Florist
Myrtle Flowers and Gifts
04.2006 - 09.2010
- Designed flower arrangements, worked with customers on custom flower arrangements, designed funeral arrangements, wedding flowers, ordered daily flowers, did pre ordering for future holidays
- Did inventory, made planters and worked on cash register
- On occasion delivered flowers and did set up of events.
Customer Service
Seaway Foodtown
06.1991 - 04.2003
- Started out as a Carry out, bagging groceries and helping customers to their cars
- Moved up to Service center where I rented movies, did lottery machine, UPS, Photos and stocked shelves
- Managed the floral dept, ordered flowers, helped customers, created arrangements, corsages and boutonnieres
- Promoted to Office where I worked with large amounts of money, cashed payroll checks, counted down cashiers’ tills, balance the office safe, monitored the front-end cashiers as well as maintaining break schedule
- Filled in for different depts such as the produce dept stocking shelves when they needed me, back up cashiering, worked stock in dairy and also filled in for night stock when they were short staffed.
Education
Associate of Applied Science / Social Service Technology -
University of Toledo
Toledo, Ohio01.1998
Diploma -
Roy C Stat High School
Toledo, Ohio01.1991
Skills
- Proficient in Microsoft Excel, Word, Emdeon, Change, Reflections, Perceptive Content, service now and Outlook
- I have excellent customer service skills, experience with Insurances both private and Medicare D plans as well as excellent problem solving and research skills
Timeline
Billing Customer Service Representative
Omnicare Pharmacy a CVS Company
11.2016 - Current
Florist, Assistant Manager
Black Tulip Floral Design
08.2014 - 07.2016
Florist
Myrtle Flowers and Gifts
04.2006 - 09.2010
Customer Service
Seaway Foodtown
06.1991 - 04.2003
Associate of Applied Science / Social Service Technology -
University of Toledo
Diploma -
Roy C Stat High School
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